What is West Liberty Nursing and Rehabilitation's Medicare star rating?

CMS rates West Liberty Nursing and Rehabilitation 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did West Liberty Nursing and Rehabilitation get at its last inspection?

7 health deficiencies at the standard inspection on August 26, 2025. The Kentucky average is 2.9.

Has West Liberty Nursing and Rehabilitation been fined?

CMS lists no fines in the last three years.

Does West Liberty Nursing and Rehabilitation accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns West Liberty Nursing and Rehabilitation?

CMS lists 29 owners and managers, and links the home to David Marx. Legal business name: WEST LIBERTY NURSING AND REHABILITATION LLC.

West Liberty Nursing and Rehabilitation: Inspections

The record in brief

At its most recent standard inspection, on August 26, 2025, inspectors cited 7 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

Of 14 health citations since January 2020, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.18 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.

54.8% of nursing staff left within the year CMS measured (Kentucky average 46.4%).

CMS links it to David Marx, an affiliated group of 10 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

201/20

501/23

708/25

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

12D

Potential for minimal harm

August 26, 2025Standard inspection, Complaint inspection · 7 citations

D

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 19, 2025

Inspectors wroteBased on observation, interview and record review, the facility failed to post the nurse staffing data daily at the beginning of each shift.
D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 19, 2025

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observations, interviews, and policy review, the facility failed to ensure proper storage of all medications.
D

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 19, 2025

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, interview, record review, and review of the facility's policy, the facility failed to ensure the menu was followed as written.
D

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 19, 2025

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, interview, record review, and review of the facility's policy, the facility failed to ensure each resident received food and drinks which were palatable, attractive, and at a safe and appetizing temperature for one of one meal trays tested for taste and temperature.
D

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 19, 2025

Inspectors wroteBased on observation, interview, record review and facility policy, the facility failed to provide food and drink that accommodated resident preferences for 3 of 6 sampled Residents. (R 1,3,17).
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 19, 2025

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, interview, record review, and review of the facility's policies, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infection as per accepted national standards and guidelines.
D

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 19, 2025

Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to provide the residents with a right to a safe, clean, comfortable, and homelike environment for three of 14 sampled residents (Resident (R)3, R7, R18).

January 25, 2023Standard inspection · 5 citations

J

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) March 4, 2023

Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure the comprehensive person-centered care plan was developed and implemented with interventions necessary for monitoring a resident with behaviors of wandering, who was at risk for elopement for one (1) of five (5) residents (Resident #20). The facility admitted Resident #20 with a history of wandering and elopement at home. The facility assessed Resident #20 to have wandering behaviors and care planned the resident as an elopement risk due to disorientation to place and impaired safety awareness. The facility's interventions for Resident #20 included observing for unmet needs and redirecting the resident when wandering, wearing a Wander Guard bracelet, checking the placement and function of the Wander Guard. [...]
J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) March 4, 2023

Inspectors wroteBased on observation, interview, record review, facility document and policy review, it was determined, the facility failed to ensure adequate and necessary supervision was provided for one (1) of five (5) sampled residents reviewed for elopement (Resident #20). Resident #20 eloped from the facility on 01/04/2023, without staff's knowledge and was found approximately 1.6 miles from the facility. Even though the facility's door alarmed when Resident #20 exited, facility staff failed to investigate and determine why the door alarm was sounding or initiate a search outside to ensure no residents had exited the facility without staff's knowledge. The facility failed to identify Resident #20's exiting the facility as an actual elopement due to the resident's intact cognition, and therefore, no investigation was conducted and documented. [...]
D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2023

Inspectors wroteBased on interview, record review, and facility policy review, it was determined the facility failed to notify the resident and the resident's representative in writing of a transfer to the hospital and provide a copy of the written notice to the Long-Term Care (LTC) Ombudsman for one (1) of one sampled residents reviewed for hospitalization (Resident #45).
D

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2023

Inspectors wroteBased on interview, record review, and facility policy review, it was determined the facility failed to provide written information regarding the facility's bed-hold policy to a resident and their representative when the resident was transferred to the hospital for one (1) of one (1) residents sampled for hospitalization (Resident #45).
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 4, 2023

Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure staff changed their gloves that were contaminated during incontinent and wound care for one (1) of three (3) sampled resident reviewed for pressure ulcers (Resident #13). Additionally, the facility failed to ensure wound care supplies were not contaminated to reduce the risk of infection for Resident #13.

January 30, 2020Standard inspection · 2 citations

D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2020

Inspectors wroteBased on observation, interview, record review, and review of the facility policy it was determined the facility failed to implement the comprehensive care plan for one (1) of thirteen (13) sampled residents. The facility had identified Resident #6 as being at high risk for falls and had developed a care plan addressing falls. The care plan included an intervention, dated 01/20/2020, which stated to keep the resident's pathways in his/her room decluttered as the resident will allow. An intervention dated 10/24/2019 also stated to keep pathways clear and well lit. However, observations of the resident's room on 01/29/2020 and 01/30/2020 revealed the floor fan positioned directly on the right side of the bed with the electrical cord plugged into the opposite wall. The cord was stretched across the room, approximately three (3) feet off the floor, in front of the resident's recliner.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2020

Inspectors wroteBased on observation, interview, record review, and review of the facility policy it was determined the facility failed to ensure the resident environment remained free of accident hazards for one (1) of thirteen (13) sampled residents (Resident #6). Resident #6 had a history of falls and had sustained a fall on 01/17/2020 due to tripping over a fan in the resident's room. Observations of the resident's room on 01/29/2020 and 01/30/2020 revealed a floor fan positioned directly on the right side of the resident's bed and with the electrical cord plugged into the opposite wall. The cord was stretched across the room, approximately three (3) feet off the floor, in front of the resident's recliner.

Fire safety inspections

10 fire safety citations on file: 2 on August 26, 2025, 7 on January 25, 2023, 1 on January 30, 2020.

Every fire safety citation10 citations

F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · August 26, 2025 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · August 26, 2025 · Corrected (the home has a date of correction)
F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · January 25, 2023 · Corrected (the home has a date of correction)
F
Have properly installed hallway dispensers for alcohol-based hand rub.

K 325 · January 25, 2023 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · January 25, 2023 · Corrected (the home has a date of correction)
E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.

K 225 · January 25, 2023 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · January 25, 2023 · Corrected (the home has a date of correction)
E
Have proper medical gas storage and administration areas.

K 923 · January 25, 2023 · Corrected (the home has a date of correction)
D
Install an approved automatic sprinkler system.

K 351 · January 25, 2023 · Corrected (the home has a date of correction)
E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

K 361 · January 30, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Kentucky	United States
All nursing staff (RN, LPN and aides)	3.18	3.95	3.86
Registered nurses	0.65	0.79	0.69
All nursing staff on weekends	3.01	3.49	3.42
Nurse aides	2.01
Licensed practical nurses	0.52
Nursing staff turnover (share who left in a year)	54.8%	46.4%	45.8%
Registered nurse turnover	44.4%	41.8%	42.9%
Administrators who left	0

CMS expects 3.99 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.26 on weekdays and 3.01 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.04 in April to June 2025 to 3.18 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.18	0.65	3.26	3.01	4.1%	0 of 90	46
Oct to Dec 2025	3.10	0.60	3.16	2.93	4.5%	0 of 92	46
Jul to Sep 2025	3.54	0.79	3.67	3.21	2.8%	0 of 92	46
Apr to Jun 2025	3.04	0.74	3.16	2.73	0.0%	0 of 91	46
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Kentucky, Jan to Mar 2026	3.85	0.71	4.04	3.40	3.2%	0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Kentucky	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	6.6	13.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.5	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.3	1.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.7	3.9	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	7.1	14.0	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.3	4.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	2.4	16.1	15.4
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.7	1.9	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.2	2.1	1.8

Owners and operators

Legal business name: WEST LIBERTY NURSING AND REHABILITATION LLC. CMS links this home to David Marx, a group of 10 nursing homes averaging 3.1 stars overall.

Name	Role	Type	Share	Since
West Liberty Nursing and Rehabilitation Holdings LLC	5% or greater direct ownership interest	Organization	100%	07/25/2019
Pruitt, Paul	Managing control - governing body	Individual		05/01/2023
774 Liberty Road SNF Realty LLC	Operational/managerial control	Organization		09/01/2019
Bluegrass Consulting Group LLC	Operational/managerial control	Organization		09/01/2019
Alexander, David	Operational/managerial control	Individual		05/01/2023
Brondhaver, Tanner	Operational/managerial control	Individual		01/01/2025
Chamberlain, Margaret	Operational/managerial control	Individual		09/11/2023
Marx, David	Operational/managerial control	Individual		09/01/2019
Pruitt, Paul	Operational/managerial control	Individual		05/01/2023
Ratliff, Angelena	Operational/managerial control	Individual		01/01/2025
Rewa, Angela	Operational/managerial control	Individual		10/23/2023
Russell, Robert	Operational/managerial control	Individual		04/08/2024
Shatrov, Anzhelika	Operational/managerial control	Individual		12/02/2024
Wolfe, Eric	Operational/managerial control	Individual		09/11/2023
744 Liberty Road SNF Realty Holdings LLC	Adp of the SNF	Organization		09/01/2019
774 Liberty Road SNF Realty LLC	Adp of the SNF	Organization		09/01/2019
Bluegrass Consulting Group LLC	Adp of the SNF	Organization		07/16/2025
Kentucky SNF Realty Holdings LLC	Adp of the SNF	Organization		09/01/2019
Mdg Real Estate Global Limited	Adp of the SNF	Organization		09/01/2019
Alexander, David	Adp of the SNF	Individual		05/01/2023
Brondhaver, Tanner	Adp of the SNF	Individual		01/01/2025
Chamberlain, Margaret	Adp of the SNF	Individual		09/11/2023
Marx, David	Adp of the SNF	Individual		09/01/2019
Pruitt, Paul	Adp of the SNF	Individual		05/01/2023
Ratliff, Angelena	Adp of the SNF	Individual		01/01/2025
Rewa, Angela	Adp of the SNF	Individual		10/23/2023
Russell, Robert	Adp of the SNF	Individual		04/08/2024
Shatrov, Anzhelika	Adp of the SNF	Individual		12/02/2024
Wolfe, Eric	Adp of the SNF	Individual		09/11/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on August 26, 2025: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on August 26, 2025: "Provide and implement an infection prevention and control program."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 25, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 25, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.01 hours per resident per day, below the Kentucky average of 3.49.

Other nursing homes nearby

Elliott Nursing and Rehabilitation
Sandy Hook, 12.8 mi · 4 of 5 stars · 11 citations
Salyersville Nursing and Rehabilitation Center
Salyersville, 16.3 mi · 1 of 5 stars · 40 citations
Wolfe County Health & Rehabilitation Center
Campton, 19.1 mi · 4 of 5 stars · 1 citation
Menifee Meadows Nursing & Rehab LLC
Frenchburg, 19.4 mi · 3 of 5 stars · 9 citations
Life Care Center of Morehead
Morehead, 20.4 mi · 2 of 5 stars · 13 citations

Kentucky contacts for a concern about a nursing home

These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.

Common questions

What is West Liberty Nursing and Rehabilitation's Medicare star rating?: CMS rates West Liberty Nursing and Rehabilitation 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did West Liberty Nursing and Rehabilitation get at its last inspection?: 7 health deficiencies at the standard inspection on August 26, 2025. The Kentucky average is 2.9.
Has West Liberty Nursing and Rehabilitation been fined?: CMS lists no fines in the last three years.
Does West Liberty Nursing and Rehabilitation accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns West Liberty Nursing and Rehabilitation?: CMS lists 29 owners and managers, and links the home to David Marx. Legal business name: WEST LIBERTY NURSING AND REHABILITATION LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.